A Case of Ludwig’s Angina: Life Threatening Deep Neck Infection Presenting with Unusual Symptoms of Chest Pain

Abstract

Ludwig’s angina is a potentially lethal deep neck infection associated with rapid airway obstruction due to swelling of the neck, tongue and submandibular areas. Despite the name, it has no relation to angina pectoris. We report a case of an 80-year-old gentleman who presented with the unusual symptom of chest pain and previous history of diabetes mellitus and treated lymphoma, who was later diagnosed with Ludwig’s angina. Despite of early intravenous antibiotics, airway support and intensive care treatment patient died within 24 hours. This case highlights the need for a high index of suspicion for Ludwig’s angina in patients with chest pain and neck swelling, as although it’s lethal condition but early, rapid and aggressive intervention can save lives.